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e-CFR data is current as of March 4, 2021


42 CFR--PART 460

View Printed Federal Register page 86 FR 6132 in PDF format.

Amendment(s) published January 19, 2021, in 86 FR 6132

Effective Dates: Mar. 22, 2021

91. Section 460.92 is revised to read as follows:

§460.92   Required services.

(a) The PACE benefit package for all participants, regardless of the source of payment, must include the following:

(1) All Medicare-covered services.

(2) All Medicaid-covered services, as specified in the State's approved Medicaid plan.

(3) Other services determined necessary by the interdisciplinary team to improve and maintain the participant's overall health status.

(b) Decisions by the interdisciplinary team to provide or deny services under paragraph (a) of this section must be based on an evaluation of the participant that takes into account:

(1) The participant's current medical, physical, emotional, and social needs; and

(2) Current clinical practice guidelines and professional standards of care applicable to the particular service.

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